Individual provider Active NPI

Husameddin M Elmesallati, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1073775110
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14143 Issued in NV
Practice address
3022 S Durango Dr Ste 100
Las Vegas, NV 89117-4440
Phone
(702) 256-3637
NPI assigned
Jun 30, 2008
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14143 NV Primary

Addresses

Primary practice location

3022 S Durango Dr Ste 100
Las Vegas, NV 89117-4440

Mailing address

PO Box 50224
Henderson, NV 89016-0224
Phone (702) 256-3637

Other identifiers 1

IdentifierTypeStateIssuer
1073775110MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000225 NV Practitioner - Internal Medicine 7113192220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2250 E Flamingo Rd
Las Vegas, NV 89119-5170
Phone (702) 784-4300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14143NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Husameddin Elmesallati MD PLLC Internal Medicine CurrentSince Oct 16, 2018 Accepting new patients
Pioneer Health Care LLC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Sandstone Spring Valley LLC Past Accepting new patients
Tufail & Associates Internal Medicine Past Accepting new patients
South Las Vegas Medical Investors, LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

2250 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 474-0200

3022 S Durango Dr
Ste 100
Las Vegas, NV 89117
Phone (702) 210-9423

3540 W Sahara Ave
#330
Las Vegas, NV 89102
Phone 7029216823 ext. 2

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1073775110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50224",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160224",
            "telephone_number": "702-256-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 S DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174440",
            "telephone_number": "702-256-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMESALLATI",
        "first_name": "HUSAMEDDIN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "14143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073775110",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.